Provider Demographics
NPI:1417263856
Name:PICENO, FRANCISCA EMILIA
Entity Type:Individual
Prefix:MS
First Name:FRANCISCA
Middle Name:EMILIA
Last Name:PICENO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1184 BRINTON AVE
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-1208
Mailing Address - Country:US
Mailing Address - Phone:951-204-2583
Mailing Address - Fax:
Practice Address - Street 1:1184 BRINTON AVE
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-1208
Practice Address - Country:US
Practice Address - Phone:951-204-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT4370225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant